Provider Demographics
NPI:1427896869
Name:MILLER, RYANN EVELYN
Entity type:Individual
Prefix:
First Name:RYANN
Middle Name:EVELYN
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130352 SR 26
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:WA
Mailing Address - Zip Code:99111-9635
Mailing Address - Country:US
Mailing Address - Phone:509-553-3850
Mailing Address - Fax:
Practice Address - Street 1:130352 STATE ROUTE 26
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:WA
Practice Address - Zip Code:99111-9635
Practice Address - Country:US
Practice Address - Phone:509-553-3850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist